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Dr. Michael Edward Russell II, MD

Specializes in: Spine Surgery and Orthopedics/Orthopedic Surgery
University of Texas Southwestern Medical School (1991)
Professional interests include: thoracic spine surgery, neck problems, musculoskeletal problems, and more.
701 Olympic Plaza Circle
Tyler, TX 75701

Dr. Michael Edward Russell II, MD is a spine surgeon in Tyler, TX specializing in spine surgery and orthopedics/orthopedic surgery. He graduated from University of Texas Southwestern Medical School in 1991 and has 35 years of experience. Dr. Michael Edward Russell II, MD is affiliated with Azalea Orthopedics, UTHealth East Texas, ORTHOLONESTAR PLLC and EAST TEXAS TREATMENT CENTER.

View Doctor's Full Profile (903) 596-3000

Office Locations

UTHealth East Texas

1000 S. Beckham Avenue
Tyler, TX 75701
(903) 597-0351
open_in_new
305 W 20th Street
Mount Pleasant, TX 75455
open_in_new

Azalea Orthopedics

305 West 20th Street
Mount Pleasant, TX 75455
(903) 577-5661
open_in_new

UTHealth East Texas

3414 Golden Road
Tyler, TX 75701
(903) 939-7500
open_in_new
3816 N University Drive
Nacogdoches, TX 75965
open_in_new

UTHealth East Texas

701 Olympic Plaza Circle
Tyler, TX 75701
(903) 596-3000
(903) 596-3006
open_in_new

Azalea Orthopedics

925 W Loop 281
Longview, TX 75604
(903) 939-7500
open_in_new

Some issues Dr. Michael Edward Russell II, MD can help you with:

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Noteworthy Medicare Patient Procedures Performed by Dr. Michael Edward Russell II, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

decompressive lumbar laminectomy
laminectomy
laminectomy with foraminotomy and facetectomy
spinal decompression surgery
spinal procedures
spine X-ray

In 2023, Dr. Michael Edward Russell II, MD performed more decompressive lumbar laminectomy, laminectomy, laminectomy with foraminotomy and facetectomy, spinal decompression surgery, spinal procedures, and spine X-ray procedures for Medicare patients than 95% of providers in related specialties within Texas.

Top 10%

By Volume:

anterior cervical discectomy and fusion
lumbar interbody fusion
spinal fusion
X-rays

In 2023, Dr. Michael Edward Russell II, MD performed more anterior cervical discectomy and fusion (ACDF), lumbar interbody fusion, spinal fusion, and X-rays procedures for Medicare patients than 90% of providers in related specialties within Texas.

Top 25%

By Volume:

cervical spine surgery
chronic care
discectomy
lateral lumbar interbody fusion

In 2012, Dr. Michael Edward Russell II, MD performed more cervical spine surgery, chronic care, discectomy (disc removal surgery), and lateral lumbar interbody fusion (LLIF) procedures for Medicare patients than 75% of providers in related specialties within Texas.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2012 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 71
decompression surgery 169
doctor visit 1009
hip imaging 22
image guided procedures 31
injections 45
minimally invasive procedures 31
musculoskeletal imaging 22
neck surgery 24
nerve procedures 169
pain management 45
revision surgery 15
spinal procedures 1356
X-rays 1041

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2013 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 122
decompression surgery 203
doctor visit 954
hip imaging 33
image guided procedures 56
injections 56
minimally invasive procedures 68
musculoskeletal imaging 33
neck surgery 33
nerve procedures 203
pain management 56
pelvic imaging 14
revision surgery 24
spinal procedures 1579
X-rays 1140

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 278
Female 394
Ethnicity
Non-Hispanic White 628
Black 27
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 288
From 75 to 84 229
85 and over 61
Less than 65 94

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2013

Hypertension 75
High Cholesterol 61
Stroke 4
Ischemic Heart Disease 43
Depression 28
Chronic Kidney Disease 17
Asthma 10
Osteoperosis 17
Atrial Fibrilation 8
Heart Failure 21
Chronic Obstructive Pulmonary Disease 22
Diabetes 28
Dementia 8
Cancer 11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2014 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 104
decompression surgery 170
doctor visit 999
hip imaging 35
image guided procedures 19
injections 33
minimally invasive procedures 36
musculoskeletal imaging 35
neck surgery 26
nerve procedures 170
pain management 33
revision surgery 15
spinal procedures 1433
X-rays 1068

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 300
Female 405
Ethnicity
Non-Hispanic White 651
Black 39
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 322
From 75 to 84 256
85 and over 48
Less than 65 79

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2014

Hypertension 75
High Cholesterol 64
Stroke 5
Ischemic Heart Disease 46
Depression 29
Chronic Kidney Disease 20
Asthma 11
Osteoperosis 14
Atrial Fibrilation 10
Heart Failure 23
Chronic Obstructive Pulmonary Disease 20
Diabetes 30
Dementia 8
Cancer 11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2015 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 120
aspiration 11
decompression surgery 180
doctor visit 919
hip imaging 28
image guided procedures 12
injections 23
minimally invasive procedures 40
musculoskeletal imaging 28
neck surgery 43
nerve procedures 180
pain management 12
pelvic imaging 16
spinal procedures 1432
X-rays 1046

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 580
Female 722
Ethnicity
Non-Hispanic White 1228
Black 44
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 560
From 75 to 84 478
85 and over 102
Less than 65 162

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2015

Hypertension 75
High Cholesterol 64
Stroke 4
Ischemic Heart Disease 43
Depression 25
Chronic Kidney Disease 23
Asthma 15
Osteoperosis 12
Atrial Fibrilation 9
Heart Failure 20
Chronic Obstructive Pulmonary Disease 20
Diabetes 32
Dementia 8
Cancer 10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2016 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 105
decompression surgery 166
doctor visit 903
minimally invasive procedures 32
neck surgery 43
nerve procedures 166
revision surgery 11
spinal procedures 1382
X-rays 1002

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 262
Female 365
Ethnicity
Non-Hispanic White 588
Black 25
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 276
From 75 to 84 244
85 and over 47
Less than 65 60

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2016

Hypertension 75
High Cholesterol 67
Stroke 6
Ischemic Heart Disease 43
Depression 27
Chronic Kidney Disease 26
Asthma 24
Osteoperosis 13
Atrial Fibrilation 11
Heart Failure 20
Chronic Obstructive Pulmonary Disease 22
Diabetes 30
Dementia 10
Cancer 11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2017 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 90
decompression surgery 119
doctor visit 776
image guided procedures 29
injections 29
minimally invasive procedures 65
neck surgery 26
nerve procedures 119
pain management 29
spinal procedures 1176
X-rays 845

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 244
Female 338
Ethnicity
Non-Hispanic White 540
Black 27
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 273
From 75 to 84 199
85 and over 52
Less than 65 58

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2017

Hypertension 75
High Cholesterol 63
Stroke 6
Ischemic Heart Disease 47
Depression 31
Chronic Kidney Disease 29
Asthma 10
Osteoperosis 14
Atrial Fibrilation 11
Heart Failure 23
Chronic Obstructive Pulmonary Disease 23
Diabetes 31
Dementia 10
Cancer 8

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2018 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 128
decompression surgery 151
doctor visit 889
image guided procedures 30
injections 48
minimally invasive procedures 77
neck surgery 47
nerve procedures 151
pain management 48
spinal procedures 1361
X-rays 938

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 269
Female 344
Ethnicity
Non-Hispanic White 570
Black 28
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 264
From 75 to 84 224
85 and over 59
Less than 65 66

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2018

Hypertension 75
High Cholesterol 66
Stroke 6
Ischemic Heart Disease 47
Depression 30
Chronic Kidney Disease 31
Asthma 9
Osteoperosis 14
Atrial Fibrilation 10
Heart Failure 22
Chronic Obstructive Pulmonary Disease 23
Diabetes 31
Dementia 12
Cancer 10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2019 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 113
aspiration 11
decompression surgery 129
doctor visit 905
image guided procedures 32
injections 57
minimally invasive procedures 67
neck surgery 46
nerve procedures 129
pain management 46
pelvic imaging 68
spinal procedures 1114
X-rays 823

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 280
Female 322
Ethnicity
Non-Hispanic White 567
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 283
From 75 to 84 227
85 and over 47
Less than 65 45

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2019

Hypertension 75
High Cholesterol 72
Stroke 4
Ischemic Heart Disease 51
Depression 31
Chronic Kidney Disease 31
Asthma 8
Osteoperosis 11
Atrial Fibrilation 11
Heart Failure 23
Chronic Obstructive Pulmonary Disease 22
Diabetes 31
Dementia 11
Cancer 10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2020 were spinal procedures, X-rays, chronic care and nerve procedures.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 72
chronic care 341
decompression surgery 107
doctor visit 681
minimally invasive procedures 21
neck surgery 26
nerve procedures 107
spinal procedures 731
X-rays 478

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 219
Female 306
Ethnicity
Non-Hispanic White 494
Black 19
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 234
From 75 to 84 208
85 and over 42
Less than 65 41

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2020

Hypertension 75
High Cholesterol 70
Stroke 6
Ischemic Heart Disease 50
Depression 30
Chronic Kidney Disease 30
Asthma 7
Osteoperosis 14
Atrial Fibrilation 10
Heart Failure 20
Chronic Obstructive Pulmonary Disease 21
Diabetes 30
Dementia 11
Cancer 11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2021 were chronic care, spinal procedures, X-rays and nerve procedures.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 101
chronic care 799
decompression surgery 108
doctor visit 651
injections 11
minimally invasive procedures 22
neck surgery 39
nerve procedures 108
pain management 11
spinal procedures 665
X-rays 366

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 218
Female 323
Ethnicity
Non-Hispanic White 509
Black 19
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 241
From 75 to 84 212
85 and over 46
Less than 65 42

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2021

Hypertension 75
High Cholesterol 70
Stroke 6
Ischemic Heart Disease 51
Depression 29
Chronic Kidney Disease 33
Asthma 13
Osteoperosis 15
Atrial Fibrilation 10
Heart Failure 21
Chronic Obstructive Pulmonary Disease 24
Diabetes 36
Dementia 12
Cancer 9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX during 2022 were chronic care, spinal procedures, X-rays and nerve procedures.

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

arthrodesis (bone fusion surgery) 87
chronic care 740
decompression surgery 108
doctor visit 675
image guided procedures 14
injections 14
minimally invasive procedures 33
neck surgery 35
nerve procedures 108
pain management 14
spinal procedures 689
X-rays 422

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 241
Female 335
Ethnicity
Non-Hispanic White 550
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 248
From 75 to 84 261
85 and over 36
Less than 65 31

Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD in 2022

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 39
Depression 31
Chronic Kidney Disease 24
Asthma 15
Osteoperosis 22
Atrial Fibrilation 20
Heart Failure 17
Chronic Obstructive Pulmonary Disease 26
Diabetes 32
Dementia 7
Cancer 16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Michael Edward Russell II, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael Edward Russell II, MD treated as a spine surgeon in Tyler, TX were spinal procedures, X-rays, chronic care and nerve procedures.

arthrodesis (bone fusion surgery) 101
aspiration 11
chronic care 626
decompression surgery 146
doctor visit 851
hip imaging 29
image guided procedures 27
injections 35
minimally invasive procedures 44
musculoskeletal imaging 29
neck surgery 35
nerve procedures 146
pain management 32
pelvic imaging 32
revision surgery 16
spinal procedures 1174
X-rays 833

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Michael Edward Russell II, MD.

Gender
Male 262
Female 350
Ethnicity
Black / African American 20
Asian / Pacific Islander 0
Non-Hispanic White 575
Native American / Alaskan Native 0
Hispanic 0
Other 0
Age
75 to 84 230
85 and over 49
Less than 65 61
65 to 74 271

Average of Total of Conditions of Medicare patients treated by Dr. Michael Edward Russell II, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Michael Edward Russell II, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension 68
High Cholesterol 61
Stroke 5
Ischemic Heart Disease 41
Depression 26
Chronic Kidney Disease 24
Asthma 11
Osteoporosis 13
Heart Failure 19
Chronic Obstructive Pulmonary Disease 20
Diabetes 28
Atrial Fibrillation 10
Dementia 8
Cancer 9

Education & Training

Dr. Michael Edward Russell II, MD graduated from University of Texas Southwestern Medical School in 1991. He completed residency at University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals. He is certified by the Board Certification Orthopedic Surgery and has a state license in Texas.

Medical School: University of Texas Southwestern Medical School (1991)

Residency: University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals (1996)

Board Certification: Board Certification Orthopedic Surgery (1999)

Licensed In: Texas

Affiliations & Hospitals

Dr. Michael Edward Russell II, MD is associated with these hospitals and organizations:

Azalea Orthopedics
UTHealth East Texas
ORTHOLONESTAR PLLC
EAST TEXAS TREATMENT CENTER

Ratings & Reviews

Dr. Michael Edward Russell II, MD has an exceptional overall rating with an average of 4.8 out of 5 stars based on 1153 ratings. We collect ratings and reviews of Dr. Michael Edward Russell II, MD from all over the web to help you find the right in Tyler, TX. 

4.8
Overall Rating
Leave a Review

General Payments

These charts describe general payments received by Dr. Michael Edward Russell II, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Spineology Inc. $1,436 Spine Devices
$1,254 		OptiMesh IDE Study
$139 		Rampart Duo Interbody Fusion system
$43
Vertebral Technologies, Inc. $1,239 InterFuse
$1,239
Stryker Corporation $964 ATLAS
$457 		Surpass
$256 		Neuroform EZ
$75 		Target
$73 		BONE SUBSTITUTES BIOLOGICS
$44 		Other
$59
Globus Medical, Inc. $891 CREO MCS
$747 		CALIBER
$82 		Excelsius GPS
$24 		Spine
$19 		Signature Titanium
$19
Alphatec Spine, Inc $853 MULTIPLE PRODUCTS
$347 		POROUS TI
$299 		LLIF
$156
$52
Other $4,494 DTRAX Spinal System
$818 		DIVERGENCE-L
$316 		CD HORIZON
$282 		Spinal
$266 		OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST
$191 		Other
$2,621
Types of Payments
Food and Beverage $7,060
Travel and Lodging $2,287
Education $530

Research Payments

Dr. Michael Edward Russell II, MD has received 11 research payments totaling $40,098.

Biography

Dr. Michael Russell, who practices in Tyler, TX, Nacogdoches, TX, and Mount Pleasant, TX, is a medical specialist in spine surgery and orthopedics/orthopedic surgery. Dr. Russell's areas of expertise include spine problems, musculoskeletal problems, and neck problems. He is rated highly by his patients. After completing medical school at the University of Texas Southwestern Medical School, he performed his residency at a hospital affiliated with the University of Texas Southwestern Medical Center at Dallas. He has received distinctions including Texas Super Doctors and Engineering Honors Program Dean s Honor List. Dr. Russell's hospital/clinic affiliations include UTHealth East Texas and Azalea Orthopedics.

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